ASGE Endoscopy Live: Pancreatobiliary Cases and Updates (virtual)

Video Transcription

Video Summary

The video transcript features a discussion and demonstration of a middle-aged gentleman who came in with cholangitis and a 1.3 centimeter stone in his duct. The plan is to perform an edge endoscopic retrograde cholangiopancreatography (ERCP). The doctors discuss their technique, including how they confirm the location of the excluded stomach and the importance of filling the stomach before proceeding. They also discuss the use of a 20 millimeter axis stent and the need for suturing to prevent migration. The procedure progresses with the placement of the axis stent and dilation to 18 millimeters. They then move on to the ERCP portion of the procedure, encountering difficulty due to the patient's position and the narrowness of the pylorus. They decide to stop for the day and establish drainage with a stent before coming back later for the sphincteroplasty and removal of the stone. The video ends with a discussion of post-procedure recommendations, including the use of antibiotics and the potential for delayed post-ERCP bleeding.

Asset Subtitle

Mouen Khashab, MD

Keywords

cholangitis

1.3 centimeter stone

endoscopic retrograde cholangiopancreatography

axis stent

suturing

dilation

post-procedure recommendations